Organization
LAKE SHORE MEDICAL RIDES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDRINA NICKCOLE WALKER (CEO/OWNER)
(419) 239-7379
Entity
Organization
Contact information
Practice address
1655 N LARCHMONT DR, SANDUSKY, OH 44870-4320
(419) 239-7379
Mailing address
1655 N LARCHMONT DR, SANDUSKY, OH 44870-4320
(419) 239-7379
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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